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Korean Journal of Spine

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https://www.readbyqxmd.com/read/28127378/effective-response-of-methotrexate-for-recurrent-idiopathic-hypertrophic-spinal-pachymeningitis
#1
Tae Joon Park, Won Deok Seo, Sang Young Kim, Jae Hoon Cho, Dae Hyun Kim, Ki Hong Kim
Idiopathic hypertrophic spinal pachymeningitis (IHSP) is a chronic progressive and diffuse inflammatory fibrosis of the spinal dura mater. Though treatment of IHSP is surgical decompression with steroid therapy, treatment for recurrent IHSP is controversial. Our patient was diagnosed with IHSP based on magnetic resonance imaging (MRI) and underwent laminectomy for decompression following steroid pulse therapy. Despite maintenance of steroid therapy, the patient experienced 3 recurrences. As an alternative immunosuppressant medication, methotrexate was introduced with low-dose steroid...
December 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/28127377/synovial-chondromatosis-of-dorsal-spine-case-report-of-rare-pathological-entity-and-review
#2
Raviraj S Ghorpade, Yadhu K Lokanath
Synovial chondromatosis is an uncommon benign condition of metaplastic and focal formation of cartilage in the intimal layer of synovial membrane of joints with extremely low risk of malignant potential. Disease process is typically monoarticular predominantly involving large joints and spinal involvement being a very rare event. We report 31-year-old male patient who presented with history of low backache, left lower limb pain, difficulty in micturition since 8 months and difficulty in walking since 2 months ...
December 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/28127376/safety-and-efficacy-of-mini-open-transforaminal-lumbar-interbody-fusion
#3
Mohamed M Mohi Eldin, Ehab M Eissa, Haitham M Elmorsy
OBJECTIVE: Mini-transforaminal lumbar interbody fusion (Mini-TLIF) and other minimally invasive approaches introduced for the purpose of treating lumbar degenerative disc disease and instability are achieving high success and safety rates as the conventional approaches. Moreover, it has less soft tissue damage, minimal blood loss, and less hospital stay. METHODS: A prospective study was conducted from 2012 to 2014 on 28 patients who were subjected to Mini-open TLIF combined with transpedicular screw fixation for spondylolisthesis and degenerative disc disease...
December 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/28127375/predictors-of-reoperation-after-microdecompression-in-lumbar-spinal-stenosis
#4
Hee-Jong Hwang, Hyung-Ki Park, Gwang-Soo Lee, June-Young Heo, Jae-Chil Chang
OBJECTIVE: The risk factors of reoperation after microdecompression (MD) for lumbar spinal stenosis (LSS) are unclear. In this study, we presented the outcomes of MD for degenerative LSS and investigated the risk factors associated with reoperation. METHODS: A retrospective review was conducted using the clinical records and radiographs of patients with LSS who underwent MD. For clinical evaluation, we used the Japanese Orthopedic Association (JOA) scoring system for low back pain, body mass index, and Charlson comorbidity index...
December 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/28127374/the-change-of-range-of-motion-at-anterior-compression-of-the-cervical-cord-after-laminoplasty-in-patients-with-cervical-spondylotic-myelopathy
#5
Yongjae Cho
OBJECTIVE: Degenerative diseases of the spine, such as cervical spondylotic myelopathy (CSM), are increasing among the old age population, and surgical treatment of CSM is becoming more and more common. The aim of this study was to investigate how functional recovery can be influenced by anterior compression of the spinal cord (ACS) after laminoplasty for treatment of patients with CSM. METHODS: We retrospectively analyzed 32 patients admitted to Ewha Womans Mok-Dong Hospital with CSM who underwent open-door laminoplasty from January 2012 to December 2014...
December 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27800002/single-stage-operation-for-giant-schwannoma-at-the-craniocervical-junction-with-minimal-laminectomy-a-case-report-and-literature-review
#6
Sun Yoon, Hunho Park, Kyu-Sung Lee, Seoung Woo Park, Chang-Ki Hong
Here we report a single-stage operation we performed on a patient with a large schwannoma that extended from the lower clivus to the cervico-thoracic junction caudally. A number of authors have previously performed multilevel laminectomy to remove giant schwannomas that extend for considerable length. This technique has caused cervical instability such as kyphosis or gooseneck deformity on several occasions. We removed the tumor with a left lateral suboccipital craniectomy with laminectomy only at C1 and without any subsequent surgery-related neurologic deficits...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27800001/clinical-experiences-of-uncommon-motor-neuron-disease-hirayama-disease
#7
Kyoung Hee Lee, Dae Seob Choi, Young Suk Lee, Dong Ho Kang
Hirayama disease, juvenile muscular atrophy of the distal upper limb, is a rare disease predominantly affecting the anterior horn cells of the cervical spinal cord in young men. This cervical myelopathy is associated with neck flexion. It should be suspected in young male patients with a chronic history of weakness and atrophy involving the upper extremities followed by clinical stability in few years. Herein, we report 2 cases of Hirayama disease on emphasis of diagnostic approach and describe the pathognomonic findings at flexion magnetic resonance imaging...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27800000/spontaneous-spinal-epidural-hematoma-coexisting-guillan-barr%C3%A3-syndrome-in-a-child-a-case-report
#8
Chi Hyung Lee, Geun Sung Song, Young Ha Kim, Dong Wuk Son, Sang Weon Lee
Spontaneous spinal epidural hematoma (SSEH) has been reported as a rare cause of spinal cord compression, especially in children. Clinical features are usually nonspecific, although cervicothoracic location of hematoma could be presented with progressive paraplegia. Guillian-Barré syndrome (GBS) is clinically defined as an acute peripheral neuropathy causing progressive limb weakness. Because SSEH and GBS have very similar signs and symptoms, SSEH could be misdiagnosed as GBS. Nevertheless, they can be presented together...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799999/pneumocephalus-and-pneumorrhachis-due-to-a-subarachnoid-pleural-fistula-that-developed-after-thoracic-spine-surgery
#9
Gun-Sang Lee, Myung-Ki Lee, Woo-Jae Kim, Ho-Sang Kim, Jeong-Ho Kim, Yun-Suk Kim
Development of a communication between the spinal subarachnoid space and the pleural space after thoracic spine surgery is uncommon. Subarachnoid pleural fistula (SAPF), a distressing condition, involves cerebrospinal fluid leakage. Here we report an unusual case of SAPF, occurring after thoracic spine surgery, that was further complicated by pneumocephalus and pneumorrhachis postthoracentesis, which was performed for unilateral pleural effusion.
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799998/a-20-year-old-retained-surgical-gauze-mimicking-a-spinal-tumor-a-case-report
#10
Sungjoon Lee, Bomi Kim, Jung Soo Kim, Byeong Sam Choi
A 79-year-old man visited our clinic complaining of lower back and left leg radiating pain that began 1 month prior to his presentation. He underwent surgery for lumbar disc herniation 20 years ago at another hospital. Magnetic resonance imaging revealed left-sided foraminal stenosis at L4-5. In addition, a paraspinal mass occupying the L4 spinous process and left lamina was observed. We subsequently performed an L4-5 decompression and fusion. During the operation, retained surgical gauze with granulation tissue was found...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799997/postlaminectomy-bilateral-lumbar-intraspinal-synovial-cysts
#11
Sung Ik Cho, Jung Hwan Lee, Chung Kee Chough
Lumbar intraspinal synovial cysts are included in the difference diagnosis of lumbar radiculopathy. Developing imaging modalities has result in increased reporting about these lesions. However, the case of bilateral new lumbar intraspinal synovial cysts after laminectomy has been rarely reported. We report of a rare case with bilateral lumbar intraspinal synovial cysts after laminectomy, requiring surgical excision.
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799996/the-surgical-overcorrection-of-lenke-type-1-deformities-with-selective-fusion-segments-what-happens-to-the-coronal-balance
#12
Yunus Atici, Sinan Erdogan, Yunus Emre Akman, Murat Mert, Engin Carkci, Tolga Tuzuner
PURPOSE: The aim of our study is to determine the alterations on coronal balance after overcorrection of Lenke type 1 curve, retrospectively. METHODS: Datas of 34 patients (29 female, 5 male patients; mean age, 16.3±3.3 years; range, 13-24 years) surgically treated for scoliosis between 2004 and 2010 were reviewed, retrospectively. The adolescent idiopathic scoliosis patients with Lenke type 1 curve treated with only posterior pedicle screw and postoperative thoracic curves less than 10° by Cobb method on frontal plane were enrolled in this study...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799995/transforaminal-percutaneous-endoscopic-discectomy-in-parkinson-disease-preliminary-results-and-short-review-of-the-literature
#13
Stylianos Kapetanakis, Eirini Giovannopoulou, Triphonas Thomaidis, George Charitoudis, Pavlos Pavlidis, Konstantinos Kazakos
OBJECTIVE: To study the effectiveness of Transforaminal Percutaneous Endoscopic Discectomy (TPED) for lumbar disc herniation in patients with Parkinson disease (PD). METHODS: Fifteen patients diagnosed with PD and lumbar disc hernia were recruited to the study. All patients underwent TPED. Mean age was 61.27±6 years, with 8 male (53.3%) and 7 female patients (46.7%). Level of operation was L3-4 (33.3%), L4-5 (33.3%) and L5-S1 (33.3%). Visual analogue scale (VAS) for leg pain and Oswestry Disabillity Index (ODI) for back pain, as well as the Medical Outcomes Study Questionnaire Short-Form 36 Health Survey (SF-36) for health-related quality of life (HRQoL) were assessed right before surgery and at 6 weeks, 3, 6, and 12 months after surgery...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799994/increased-prevalence-of-ossification-of-posterior-longitudinal-ligament-and-increased-bone-mineral-density-in-patients-with-ossification-of-nuchal-ligament
#14
Ki-Wan Kim, Young-Min Oh, Jong-Pil Eun
OBJECTIVE: There are also few studies demonstrating the relationship between ossification of nuchal ligament (ONL) and ossification of posterior longitudinal ligament (OPLL). We compared the prevalence, location, and type of OPLL between patients with ONL and matched patients without ONL.We also compared the bone mineral densities (BMDs) between the 2 groups. METHODS: total of 124 cervical ONL patients were enrolled in this study. The control group of 124 patients was matched with 124 patients with ONL by age and sex on a 1:1 basis to minimize confounding factors...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799993/radiologic-changes-of-operated-and-adjacent-segments-after-anterior-cervical-microforaminotomy
#15
Jang Ho Ahn, Moon Sun Park, Seong Min Kim, Seung Young Chung, Do Sung Lee, Ki Seok Park
OBJECTIVE: Anterior cervical microforaminotomy (ACMF) is a motion-preserving surgical procedure. The purpose of this study is to assess radiologic changes of operated and adjacent segments after ACMF. METHODS: We retrospectively reviewed 52 patients who underwent ACMF between 1998 and 2008. From X-ray film-based changes, disc height and sagittal range of motion (ROM) of operated and adjacent segments were compared at preoperative and last follow-up periods. Radiological degeneration of both segments was analyzed as well...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799992/the-use-of-gentamicin-impregnated-collagen-sponge-for-reducing-surgical-site-infection-after-spine-surgery
#16
Jin-Sol Han, Se-Hoon Kim, Sung-Won Jin, Seung-Hwan Lee, Bum-Joon Kim, Sang-Dae Kim, Dong-Jun Lim
OBJECTIVE: Surgical site infection (SSI) is the one of the most frequent complications in hospitalized patients, and it extends hospital stays and causes extra morbidities. To reduce SSI after spine surgery, we applied the gentamicin-impregnated collagen sponge (Collatamp G) during the operation and analyzed the results retrospectively. METHODS: Between October 2012 and December 2015, we collected data who applied the Collatamp G in spine surgery at a single institution...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799991/the-factors-that-affect-improvement-of-neurogenic-bladder-by-severe-lumbar-disc-herniation-in-operation
#17
Joon Bok Jeon, Seung Hwan Yoon, Do Keun Kim, Ji-Yong Kim
OBJECTIVE: This study analyzed retrospectively the bladder function of patients after early surgery for cauda equina syndrome (CES) performed within 24 or 48 hours, or after 48 hours of the onset of autonomic symptoms. METHODS: We retrospectively reviewed the clinical data of 31 patients after decompression surgery for lumbar disc herniation (LDH) who had been diagnosed with CES between January 2001 and December 2014 at Inha University Hospital. The following factors were assessed to evaluate the influence of time to surgery: bladder function, rectal incontinence, sexual dysfunction, LDH level, and degree of spinal canal compression...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799990/the-safety-and-decision-making-of-instrumented-surgery-in-infectious-spondylitis
#18
Kyeong Hee Baek, Young-Seok Lee, Dong Ho Kang, Chul Hee Lee, Soo Hyun Hwang, In Sung Park
OBJECTIVE: Infectious spondylitis is mostly managed by appropriate antibiotic treatment options, and some patients may require surgical interventions. However, surgical interventions that use spinal instrumentation to correct the mechanical instability may be associated with the risk of an increase in the recurrence rate. In this study, we investigated whether spinal instrumentation effects on recurrence of infectious spondylitis. METHODS: The study was conducted as a retrospective study by dividing the subjects into the noninstrumentation surgery and instrumentation surgery groups among a total of 95 patients who had received surgical interventions in infectious spondylitis from 2009 to 2014...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799989/surgical-outcomes-of-anterior-cervical-fusion-using-deminaralized-bone-matrix-as-stand-alone-graft-material-single-arm-pilot-study
#19
Ho-Jung Chung, Jung-Woo Hur, Kyeong-Sik Ryu, Jin-Sung Kim, Ji-Hoon Seong
OBJECTIVE: To investigate the safety and efficacy of demineralized bone matrix (DBM) as a bone graft substitute for anterior cervical discectomy and fusion (ACDF) surgery. METHODS: Twenty consecutive patients treated with ACDF using stand-alone polyestheretherketone (PEEK) cages (Zero-P) with DBM(CGDBM100) were prospectively evaluated with a minimum of 6 months of follow-up. Radiologic efficacy was evaluated with a 6-point scoring method for osseous fusion using plain radiograph and computed tomogrpahy scans...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799988/three-years-outcome-of-microdiscectomy-via-paramedian-approach-for-lumbar-foraminal-or-extraforaminal-disc-herniations-in-elderly-patients-over-65-years-old
#20
Chang Gi Yeo, Ikchan Jeon, Sang Woo Kim, Sam Kyu Ko, Byung Kil Woo, Kwang Chul Song
OBJECTIVE: Lumbar foraminal or extraforaminal disc herniations (FEFDH) have unusual clinical features and higher incidence in elderly patients compared to usual intraspinal canal disc herniations. We evaluated the efficacy of microdiscectomy via paramedian approach for lumbar FEFDH in elderly patients over the age of 65. METHODS: Retrospective study was performed in 68 patients over the age of 65 (23 male and 45 female patients; 71.46±3.87 years) who underwent microdiscectomy via paramedian approach for unilateral lumbar FEFDH causing sciatica...
September 2016: Korean Journal of Spine
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